NPIMap

Organization Active NPI

Ronetco Supermarkets, Inc

Doing business as Shoprite Pharmacy of Succasunna

  • Community/Retail Pharmacy
  • Succasunna, NJ
National Provider Identifier
1396884946
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS003101 Issued in NJ
Legal business name
RONETCO SUPERMARKETS, INC
Doing business as
Shoprite Pharmacy of Succasunna
Practice address
Route 10 and Roxbury Shopping Center
Succasunna, NJ 07876
Phone
(973) 584-4466
Fax
(973) 584-4648
NPI assigned
Feb 6, 2007
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RS003101 NJ Primary

Addresses

Primary practice location

Route 10 and Roxbury Shopping Center
Succasunna, NJ 07876

Mailing address

1070 US Highway 46 Ste 17
Ledgewood, NJ 07852-9701
Phone (973) 927-8300

Other identifiers 2

IdentifierTypeStateIssuer
4330501MedicaidNJ
3123039OtherNJNCPDP

Other names 1

  • Shoprite Pharmacy of Succasunna Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100723000236 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9830221092 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flanders, NJ; Byram Township, Stanhope, NJ; Sussex, NJ; Succasunna, NJ; Sparta, NJ; Netcong, NJ; Hackettstown, NJ; Franklin, NJ…
O20100930015122 NJ DME Supplier - Pharmacy 9830221092 Practice locations: Succasunna, NJ

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ronetco Supermarket Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1396884946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 US HIGHWAY 46 STE 17",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529701",
            "telephone_number": "973-927-8300",
            "fax_number": "973-927-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10 AND ROXBURY SHOPPING CENTER",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-584-4466",
            "fax_number": "973-584-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONETCO SUPERMARKETS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS003101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4330501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3123039",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Succasunna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.